Cases That Test Your Skills

Cases That Test Your Skills

A dangerous GI complication

Ms. X, age 61, undergoes emergent surgery for intestinal obstruction. Her paranoid schizophrenia has been well controlled on clozapine, but the...

Cases That Test Your Skills

Pregnant and moving involuntarily

After Ms. A delivers a preterm girl, the obstetrics service notes she has a blunted affect and involuntary movement of the arms and legs. What...

Cases That Test Your Skills

Depression or delirium?

Confused and depressed, Mr. L, age 85, is admitted after threatening his wife. He has several medical conditions and receives multiple medications...

Cases That Test Your Skills

Diabetic and depressed

Tearful and depressed, Mr. N plans to shoot his daughter’s abusive husband and himself. He has poorly controlled diabetes and other comorbidities...

Cases That Test Your Skills

The mysterious foreign accent

While treating Ms. D for a suspected psychotic disorder, you learn she has developed a foreign accent. What could be the cause of this unusual...

Cases That Test Your Skills

The surgeon who operated on himself

After performing cosmetic surgery on himself, Dr. T passes out and is brought to the emergency department. He wants to leave once he is medically...

Cases That Test Your Skills

A case of returning psychosis

In the ER, Ms. Y is agitated, violent, and aggressive. She received care for psychotic symptoms 30 years ago, but had been healthy until she had a...

Cases That Test Your Skills

Immobile, mute, and at risk

Mr. M has schizophrenia and develops catatonia after being found naked outside his home. Immobility and reduced oral intake increase his risk of...

Cases That Test Your Skills

Descent after a missed flight

Psychotic, sleepless, and depressed, Mr. F decides to make a new start in another country. When his travel plans are interrupted, his psychosis...

Cases That Test Your Skills

Gasping for relief

While in the hospital receiving treatment for re-emerging paranoia, Ms. A, age 62, chokes on a hot dog and dies a few days later. How could this...

Cases That Test Your Skills

The psychotic pot smoker

When police bring Mr. C to the emergency department, he’s agitated, confused, and hallucinating. He claims someone tampered with his marijuana....

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